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Author Topic: WOOOOOOOOOOHOOOOOOOO Otto got Medicare.  (Read 2551 times)
lola
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I can fly!!!

« on: July 08, 2010, 02:33:45 PM »

So for those of you not aware I have been living a NIGHTMARE with ins for the last several months due to our"former" social worker. When Otto started D we were at Fresinious but he switched after a month for  home-hemo and we were told by the social worker at Davita that because he had GREAT ins not to worry about Medicare. Fast forward 2 years after we left home-hemo and went back to Fresinios the "new" social worker asked why Otto only had Medicare part A, I explained we were told we had GREAT ins and not to spend the extra money. WRONG we had no idea that after 30 months our ins would no longer be primary so we would be responsible for ALL of Otto's bills. um thanks but the amount we already pay out is just about killing us. We then found out Otto could due open enrollment in 2011 but from Nov 2010 till June 2011 we are primary OMG!!!!We at one point were told we would have to pay back $285,000 to Medicare part A only to find out after a TON of leg work that they never have paid a penny for anything. Well we finally after tons of calls and paper work found out that since we have never used Medicare part A Otto can have Medicare part A & B  effective April 2010!!!! Our AWESOME new social worker was even able to find an organization who will pay for Otto's Medicare!!!! I feel like a ton has been lifted off my shoulders, now if only the scale would show it. LOL 
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Darthvadar
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« Reply #1 on: July 08, 2010, 02:42:28 PM »

Thanks be to God for that!!!!...

This disease gives us enough to worry about without have financial problems, too....

Love...

Darth...
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Cared for my late mum, Elsie who had Kidney Failure... Darling mum died on July 15th 2014... May her gentle soul rest in peace....
KICKSTART
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In da House.

« Reply #2 on: July 08, 2010, 03:05:41 PM »

I understand relief only too well and im so pleased you have now got your share of it  :2thumbsup;
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OH NO!!! I have Furniture Disease as well ! My chest has dropped into my drawers !
paris
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« Reply #3 on: July 08, 2010, 05:55:23 PM »

This is great news.  One less worry for you.   :thumbup;
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It's not what you gather, but what you scatter that tells what kind of life you have lived.
jbeany
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Cattitude

« Reply #4 on: July 08, 2010, 06:40:12 PM »

 :bandance;

And a fat raspberry to the idiot social worker!
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"Asbestos Gelos"  (As-bes-tos yay-lohs) Greek. Literally, "fireproof laughter".  A term used by Homer for invincible laughter in the face of death and mortality.

cariad
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What's past is prologue

« Reply #5 on: July 08, 2010, 08:20:04 PM »

How can you not love this elegantly simple and common sense system of ours? :sarcasm;

I did at least get that it has been sorted out, and for that I am delighted for you! :cheer: :cheer: :cheer: (Oh, the tears of laughter they would have received from me if they had suggested I pay them nearly 300k!) Hurrah for the awesome social worker! :2thumbsup;
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Be kind, for everyone you meet is fighting a great battle. - Philo of Alexandria

People have hope in me. - John Bul Dau, Sudanese Lost Boy
okarol
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Photo is Jenna - after Disneyland - 1988

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« Reply #6 on: July 08, 2010, 11:15:48 PM »

 :bandance; Yay!!!
 ??? What a nightmare!
You look lighter to me Lola!  ;D
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
New kidney in a paired donation swap July 26, 2017.
Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
Jean
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« Reply #7 on: July 08, 2010, 11:57:33 PM »

Such awesome news, finally a burden lifted instead of added to. Happy for both of you.   :clap;
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One day at a time, thats all I can do.
monrein
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Might as well smile

« Reply #8 on: July 09, 2010, 04:32:47 AM »

What a tremendous relief. 
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
Sluff
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« Reply #9 on: July 09, 2010, 04:28:38 PM »

Awesome news.  :thumbup;
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Stoday
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« Reply #10 on: July 09, 2010, 06:04:44 PM »

I was reading yesteday about the Iranian woman who is to be stoned to death and how backward Iran must be.

Then I read this thread. I'm gobsmacked! So how much more advanced is America than Iran?
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Diagnosed stage 3 CKD May 2003
AV fistula placed June 2009
Started hemo July 2010
Heart Attacks June 2005; October 2010; July 2011
plugger
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I only look like a sheep - but I ain't

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« Reply #11 on: July 11, 2010, 08:36:13 AM »

You can get stoned to death here, but we make it much more complicated and less messy.
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Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed, renewed in 2012 and 2019

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

On my tombstone: He was a good kind of crazy

www.dialysisethics2.org
Stoday
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« Reply #12 on: July 11, 2010, 08:02:32 PM »

 :rofl;  :rofl;  :rofl; Good one Plugger!
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Diagnosed stage 3 CKD May 2003
AV fistula placed June 2009
Started hemo July 2010
Heart Attacks June 2005; October 2010; July 2011
plugger
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I only look like a sheep - but I ain't

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« Reply #13 on: July 12, 2010, 02:28:59 PM »

Thanks Stoday!  I could go into my rant about health insurance and kidney dialysis, but I'm all ranted out today. 
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Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed, renewed in 2012 and 2019

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

On my tombstone: He was a good kind of crazy

www.dialysisethics2.org
plugger
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I only look like a sheep - but I ain't

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« Reply #14 on: July 17, 2010, 07:18:05 AM »

But to be fair I did find there is something I consider a big improvement in dialysis.
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Proud member of DialysisEthics since 2000

DE responsible for:

*2000 US Senate hearings

*Verified statistics on "Dialysis Facility Compare"

*Doctors have to review charts before they can be reimbursed

*2000 and 2003 Office of Inspector General (OIG) reports on the conditions in dialysis

*2007 - Members of DialysisEthics worked for certification of hemodialysis
technicians in Colorado - bill passed, renewed in 2012 and 2019

*1999 to present - nonviolent dismissed patients returned to their
clinics or placed in other clinics or hospitals over the years

On my tombstone: He was a good kind of crazy

www.dialysisethics2.org
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